| NPI | 1265670731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT TERRELL HAMMETT Owner 803-957-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4313) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |